Hussey Vincent M, Tao Jeremiah P
Gavin Herbert Eye Institute, University of California, Irvine, California, USA.
Orbit. 2022 Dec;41(6):687-690. doi: 10.1080/01676830.2021.1989468. Epub 2021 Oct 21.
To characterize the number of oculofacial plastic surgeons (OPS) per county in the United States (U.S.).
The 2021 public databases of the American Society of Ophthalmic Plastic and Reconstructive Surgery and the American Academy of Ophthalmology were used to identify all OPS in the U.S. Surgeon practice location was used to determine per capita physician density by county.
A total of 1184 OPS in the U.S. were identified. Three hundred forty-eight counties were served by at least one OPS whereas 2795 counties (89%), and two states, North Dakota and Wyoming, had no OPS. The average ratio of OPS to 100,000 population was 0.3572 (1 per 279,955). Of the counties with at least one OPS, the average was 0.5860 surgeons per 100,000 population (1 per 170,648), ranging from 0.0705 (1 per 1,418,440) to 11.26 (1 per 8,881) per 100,000. The counties with the greatest OPS density were Pitkin County, CO (1 per 8,881), San Juan County, WA (1 per 17,580), and Montour County, PA (1 per 18,231). Counties with the lowest density of those with at least one OPS were Bronx County, NY (1 per 1,418,238), San Bernardino County, Ca (1 per 1,090,037), and Gwinnett County, GA (1 per 936,329). The counties with the most OPS were Los Angeles County, CA (46), New York County, NY (38), and Cook County, IL (25).
Geographic disparities in OPS distribution exist in the U.S. Future investigations of OPS supply according to population and other characteristics for demand may be useful.
确定美国各县眼面部整形外科医生（OPS）的数量。
利用美国眼科整形与重建外科学会和美国眼科学会2021年的公共数据库来识别美国所有的眼面部整形外科医生。根据外科医生的执业地点来确定各县的人均医生密度。
共识别出美国1184名眼面部整形外科医生。至少有一名眼面部整形外科医生服务的县有348个，而2795个县（89%）以及北达科他州和怀俄明州这两个州没有眼面部整形外科医生。眼面部整形外科医生与10万人口的平均比例为0.3572（每279,955人中有1名）。在至少有一名眼面部整形外科医生的县中，每10万人口的平均外科医生数量为0.5860（每170,648人中有1名），每10万人的范围从0.0705（每1,418,440人中有1名）到11.26（每8,881人中有1名）。眼面部整形外科医生密度最高的县是科罗拉多州的皮克金县（每8,881人中有1名）、华盛顿州的圣胡安县（每17,580人中有1名）和宾夕法尼亚州的蒙图尔县（每18,231人中有1名）。至少有一名眼面部整形外科医生的县中密度最低的县是纽约州的布朗克斯县（每1,418,238人中有1名）、加利福尼亚州的圣贝纳迪诺县（每1,090,037人中有1名）和佐治亚州的格温内特县（每936,329人中有1名）。眼面部整形外科医生数量最多的县是加利福尼亚州的洛杉矶县（46名）、纽约州的纽约县（38名）和伊利诺伊州的库克县（25名）。
美国眼面部整形外科医生的分布存在地理差异。未来根据人口和其他需求特征对眼面部整形外科医生供应情况进行调查可能会有所帮助。
